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psnet.ahrq.gov/node/41495/psn-pdf
December 21, 2014 - The relationship between electronic health records and
malpractice claims.
December 21, 2014
Quinn MA, Kats AM, Kleinman K, et al. The relationship between electronic health records and malpractice
claims. Arch Intern Med. 2012;172(15):1187-9. doi:10.1001/archinternmed.2012.2371.
https://psnet.ahrq.gov/issue/relat…
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psnet.ahrq.gov/node/74095/psn-pdf
February 01, 2022 - Zero Suicide Initiative.
November 17, 2021
Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3,
2021;(86):60883-60893.
https://psnet.ahrq.gov/issue/zero-suicide-initiative
Patient suicide attempts are considered never events. This funding announcement calls for pr…
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psnet.ahrq.gov/node/34741/psn-pdf
December 19, 2018 - Wall of Silence: The Untold Story of the Medical Mistakes
That Kill and Injure Millions of Americans.
December 19, 2018
Gibson R, Singh JP. Washington DC, LifeLine Press; 2003.
https://psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
Written by a program officer at…
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psnet.ahrq.gov/node/44155/psn-pdf
June 24, 2015 - Patient Safety Tool Kit.
June 24, 2015
WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN:
9789290220596.
https://psnet.ahrq.gov/issue/patient-safety-tool-kit
Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and
s…
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psnet.ahrq.gov/node/35188/psn-pdf
August 16, 2016 - The Handbook of Patient Safety Compliance: A Practical
Guide for Health Care Organizations.
August 16, 2016
Rozovsky FA, Woods JR. San Francisco, CA: Jossey-Bass; 2005. ISBN 9780787965105.
https://psnet.ahrq.gov/issue/handbook-patient-safety-compliance-practical-guide-health-care-organizations
This well-referenced…
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psnet.ahrq.gov/node/40926/psn-pdf
November 16, 2011 - Receptionist input to quality and safety in repeat
prescribing in UK general practice: ethnographic case
study.
November 16, 2011
Swinglehurst D, Greenhalgh T, Russell J, et al. Receptionist input to quality and safety in repeat prescribing
in UK general practice: ethnographic case study. BMJ. 2011;343:d6788. doi:…
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psnet.ahrq.gov/node/39245/psn-pdf
January 20, 2010 - Adverse Events in Hospitals: Public Disclosure of
Information About Events.
January 20, 2010
Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General;
January 5, 2010. Report No. OEI-06-09-00360.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-public-disclosure-in…
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psnet.ahrq.gov/node/35878/psn-pdf
April 26, 2006 - Quality of Care in Cranial Implant Surgeries at James A.
Haley VA Medical Center, Tampa, Florida.
April 26, 2006
Washington, DC: VA Office of Inspector General; April 10, 2006. OIG Report No. 06-01642-126.
https://psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-
flor…
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psnet.ahrq.gov/node/837347/psn-pdf
June 08, 2022 - Addressing Health Worker Burnout.
June 8, 2022
The U.S. Surgeon General’s Advisory on Building a Thriving Health Workforce. Washington DC:
Office of the Surgeon General; May 2022.
https://psnet.ahrq.gov/issue/addressing-health-worker-burnout
Health care staff and clinician wellbeing is known to affect safety …
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psnet.ahrq.gov/node/843091/psn-pdf
January 25, 2023 - Anesthesia outside of the OR: cause for patient safety
concerns?
January 25, 2023
DePeau-Wilson M. MedPage Today. January 13, 2023.
https://psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
The use of anesthesia in ambulatory settings presents both advantage and risk to patients and clinicia…
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psnet.ahrq.gov/node/36117/psn-pdf
July 19, 2006 - A Safer Place for Patients: Learning to Improve Patient
Safety.
July 19, 2006
House of Commons Committee on Public Accounts. London: The Stationery Office Limited; June 2006.
https://psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety-0
Using data from approximately 974,000 patient safety inc…
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psnet.ahrq.gov/node/37039/psn-pdf
September 14, 2007 - Corporate Responsibility and Health Care Quality: A
Resource for Health Care Boards of Directors.
September 14, 2007
Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: Office of the Inspector General of the US
Department of Health and Human Services, American Health Lawyers Association; September 2007.
h…
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psnet.ahrq.gov/node/37739/psn-pdf
June 07, 2008 - Health-Care-Associated Infections in Hospitals:
Leadership Needed from HHS to Prioritize Prevention
Practices and Improve Data on these Infections.
June 7, 2008
Washington, DC: United States Government Accountability Office; March 31, 2008. Publication GAO-08-
283.
https://psnet.ahrq.gov/issue/health-care-associa…
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psnet.ahrq.gov/node/41444/psn-pdf
June 13, 2012 - Evaluation of Registered Nurse Competency Processes in
Veterans Health Administration Facilities.
June 13, 2012
Washington, DC: VA Office of Inspector General; April 20, 2012. Report No. 12-00956-159.
https://psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-
administration-faci…
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psnet.ahrq.gov/node/38149/psn-pdf
October 15, 2008 - Health-Care-Associated Infections in Hospitals: An
Overview of State Reporting Programs and Individual
Hospital Initiatives to Reduce Certain Infections.
October 15, 2008
Washington, DC: United States Government Accountability Office; September 2008. Publication GAO-08-
808.
https://psnet.ahrq.gov/issue/health-ca…
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psnet.ahrq.gov/node/35671/psn-pdf
June 25, 2010 - Nursing Homes: Despite Increased Oversight, Challenges
Remain in Ensuring High-Quality Care and Resident
Safety.
June 25, 2010
Washington DC; Government Accountability Office; 2005. Report no. GAO-06-117.
https://psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-
quali…
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psnet.ahrq.gov/node/36072/psn-pdf
July 05, 2006 - VA Health Care: Steps Taken to Improve Practitioner
Screening, but Facility Compliance with Screening
Requirements is Poor.
July 5, 2006
Washington DC; Government Accountability Office; May 2006. Report no GAO-06-544.
https://psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-c…
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psnet.ahrq.gov/node/39988/psn-pdf
November 10, 2010 - Development of trigger tools for surveillance of adverse
events in ambulatory surgery.
November 10, 2010
Kaafarani HMA, Rosen AK, Nebeker JR, et al. Development of trigger tools for surveillance of adverse
events in ambulatory surgery. Qual Saf Health Care. 2010;19(5):425-9. doi:10.1136/qshc.2008.031591.
https://p…
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psnet.ahrq.gov/node/836788/psn-pdf
March 23, 2022 - A widow’s mission to change NC dental sedation rules.
March 23, 2022
Blythe A. NC Health News. March 10, 2022
https://psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules
Patient harm in dentistry is receiving increased attention and scrutiny. This story covers a medication
incident and the lack of …
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digital.ahrq.gov/ahrq-funded-projects/implementation-electronic-health-screening-primary-care-improve-sti-testing/citation/adapting
January 01, 2023 - Adapting an electronic STI risk assessment program for use in pediatric primary care.
Citation
Ahmad FA, Chan P, McGovern C, Dickey V, Foraker R, McKay V. Adapting an electronic STI risk assessment program for use in pediatric primary care. J Prim Care Community Health. 2023 Jan-Dec;14:215013192311729…